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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Operation Restore Trust Skilled Nursing Facility Review Conducted at Edward White Transitional Care Unit, St. Petersburg, Florida," (A-04-96-01128)

February 6, 1997

Complete Text of Report is available in PDF format (797 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


The primary objective of the review was to evaluate the medical necessity of the care and services provided and the reasonableness of the charges and reimbursements made during the period from January 1, 1994 through December 31, 1994.

The Operation Restore Trust reviewers questioned $7,244 in charges reported for the 27 sample beneficiaries in our study. This amount comprises $2,662 related to physical and occupational therapy services, which were not reasonable and necessary $4,209 in routine supply, and drug charges incorrectly reported as ancillary charges. Therefore, we are recommending an adjustment of the above charges.